| NPI | 1043793847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1053249) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 799124) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: TX 799124) | |
| 163WH0200X Registered Nurse, Home Health (Licence: TX 799124) | |
| Enumeration Date | 2018-09-08 |
| Last Update Date | 2025-12-15 |